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HomeMy WebLinkAbout08-7467 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 7467 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: 500.00 Date Issued: Name: ZEPHYR COMMONS LLC Total Fees: 35.00 Address: 3629 MADACA LN Amount Paid: 35.00 TAMPA, FL 33618 Date Paid: 2/11/2008 Phone: 727421-4823 Work Desc: INSTALL 60 AMP METERED POLE FOR SECURITY CAMERA 7467 ELECTRICAL MISC ELECTRIC SERVICE/NEW COMMERCIAL McNEALON ELECTRICAL SERVIC Address: 7874 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Book: Page: Subdivision: ZEPHYR COMMONS Parcel Number: 35-25-21-0010-00700-0000 Section: ELECTRICAL FEE 35.00 ~ /(yJ~ REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspection called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. "Warning to owner: Your failure to record a notice of commencement may result in your payin twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete s, Specifications and Fee Must Accompany Application. All work shall be perf ed 'n accordance with City Codes and Ordinances. ~-~ PER~~ PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ELECTRICAL SERVICES, INC. 14208 BRIARTHORN DRIVE TAMPA, FLORIDA 33625-3251 813.265.0648 FAX: 813.264.1289 February 5, 200S City of Zephyrhills - Building Dept. 5335 Sth Street Zephyrhills, FL 33542 RE: McNealon Electrical Services, Inc., License # EC130017S9 To Whom It May Concern: Please accept this letter as authorization for Robert L. Johnson to sign permits on our behalf. Thank you for your cooperation. ames E. McNealon President Owngr's N:ml9"'ZC.~Y"R COMMcrJ.,S Owner'sAddress 13~Z.Cf ~ 1...A~,,(~:fi.~/5 Foe Slmpleiltl.."oldllr Namel -"'-'02/05f.2008 13:00 ,- ... '--:- \,tj-j;;:-;t)u"Uu:lU +--~;J...-,~...- ~ ~'f'",... ': .. Dalo'Recelved Fee Simple Tllleholder Address I I JOB ADDRESS SUBDIVISION 8132541289 MCNEALON ELEC}iR!CAl,.~~:: LilY or Lepnyrnlll~ t-'f!rmlT AIlPIlC'ATlOn' '.. LJ Building Department PAGE 07/07 ";l~-llM-llllJ.OU21 L~ I I I I LOT' I I '35- Z5, Z I -:' DOlO - 007l..Y.::..)-- COOJ-; (OBTAINED fROM PROPIiRTYTAX NOnCE' SIGN D MOvE 0 I ,lsC> GAtt' BLVD- I El CJ CJ 'PR.ov Ibs lDOA~ SQ FOOTAGE I I>ARCEL 1011 ~ D TYPE OF CONSTRUCTION D ....OR"""" OF WORK ~ BUILDING SIZE L~IIL::::-- WORK PROPOSED PROPOSED USE D D .D ~ fl,~~ ~ jY.~ I HEIGHT DEMOUSH NEW CONSTR INSTALL SFR BLOCK ADD/AL T REPAIR COMM FRAME OTHER I STEEL 0 OTHER I o BUILDING TII 1$ I"~ Is 1$ o GAS 0 FINISHED FLOOR ELEVATIONS I C8f ELECTRICAl 0' o PLUMBING MECHANICAL .............. .... ..r...... ........ ...... ..... .......................... J VALUATION OF TOTAl CONSTRUCTION IfcI)AMPSERVlCE ~ PROGRESS ENERGY f;itR.E.c '2-(!5fo~ I ()I()~ -' . I VALUATION OF MECHANICAL INSTAlLATION (7\ cl- ~t...V o SPECIALTY 0 OTHER 21"1 c\ r<x~ I FLOOD ZONE AREA DYES DNo SJO ROOFING .....I..rf,....l ..T................ ............................... ........................ 'f'r IIUILDER I SIGNATURE AddfllSS I I!LECTRIC.IAN I cn\~b6?1 SIGNATURE .~ Address r PLUMBER I SIGNATURE . Addlll8S I MECHANICAL I SIGNATURE . Address I OTHER I SIGNA'tURE Address I COMPANY I flElllSTEREO Y I N FEE CURRENT L.:!.L!:!.J -;S.tf' UcensS# I COMPANY IMt~ EI~cJ ~,~. REGISTERED I Y I N I F!!E CURRENT lr.L!LJ License # lEe. \ ~oo \ "189 11111" r '"11111""1111111111 Fur RESIDENTIAL Allach (2) Plol Plans; (2) sets of Building P;ans; (1) set of Energy Forms; R-O.W Permit for new construction, MInimum. ten (10) working days aller submlltal date. Requlrgd onsllll, ConslnlctIon PIMS, S10rrnwatllr Plans wi Sill Fence Inslalled, Sanitary Facilities & 1 dumpstor: SlIe Work Permll for subdivislonsnllrge projects COMMERCIAL Attach (3) complele sets of Building Plans plus a Life Safely Page; (1) set of Energy Forms, R'().W Pennlt for new conslnlctlon. Minimum ten (10) working days after submiltal date. Required onsfte, Conslnlction Plans, Slonnwalar Plans wi Slit Fence installed, Sanitary FaclllUgs & 1 dumpster. Site Work Pennll for all new projects, All commercial requll'8menll; must meet compliance SIGN PERMIT Allaoh (2) sets or Engll1llllflld Plans. -'PROPERTY SURVEY required for all NEW conslruction. 11JI'llllllllllllfrlrll',IIIHIJIIIIIIIIIIIIIIIJUIIIII'1IIIJIIJ"I'lrIIIIIIIJIIIII"lfllllllllltllrllllllllll1IIIIllltllllllrtr.tllllli.111111111 Directions: . " Fill out application completely. Owngr & Conlnoclor sign back or appllcaUon. nolart:!:ed If o""r $2500, 8 Nollce of Commencement Is required. (AlC upgrades over $5000) Agent (for the ~nlraclor) or POWlIr or Allomey (for !he _) would be someone with no18r1zed letter from owner authorlztng same OVER THE; COUNTER PERMITTING (Front or Applic:aUon Only) Reroofs' Sewers Service Upgrades AlC Fllflces (PlOl/Survey/Footage) DrlVlaways.Not over Counler lfiOn public roadways..nll8ds ROW 02/05/2008 13:00 8132541289 MCNEALON.ELECTRICAL PAGE 01/07 ELECTRICAL SERVICES, INC. 14208 BRIARTHORN DRIVE TAMPA, FLORIDA 33625-3251 License # EC13001789 FAX TRANSMITTAL DATE: FROM: L nn Barnhardt TO: FAX: FAX: PHONE: PHONE: cc; File PAGES incl. cover Karen, here is all our info to set us up in your system. Also, here is a copy of the permit application that we will bring in with a check. Please let me know how much the permit will be so that I can write the check for the correct amount. Thanks for your help. -fA C- ~i'-(;L \ V"Y\ . L'-{ '" n e uex-\ Z-C1Y"', n~+ f1J (! 0:5 t- Feb, 5. 200811:48AM No. 5457 p, 1/1 ACORD CERTIFICATE OF LIABILITY INSURANCE - I DATE (MMfODIYYYY) TM 02/05/2008 PRODUCER Phone (813) 988-1234 Fax 813-988-0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ASSOCIATES AGENCY, INC. ONl Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 16190 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11470 N. 53RD ST. AI "..D RV R'" '''f TEMPLE TERRACE FL 33687 INSURERS AFFORDING COVERAGE NAIC# Aaencv lIe# ROO1766 INSURED INSURER A: AUTO OWNERS INSURANCE CO. 18988 MCNEALON ELECTRICAL SERVICES, INC. INSURER B: AUTO OWNERS INSURANCE CO. 18988 14208 BRIARTHORN DRIVE INSURER c: SOUTHERN OWNERS INSURANCE CO. 10190 TAMPA FL 33625 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR AOO'L TYPE OF INSURANCE POLICY NUMBER PD~~~:,:~g/~~~ P~~~Y ~~~~'~,N LIMITS LTR INSRO GENERAL LIABILITY 20641728 10/01/07 1 0/01/08 EACH OCCURRENCE $ 1,000,000 .--- DAMAGE TO RENTED X COMMERCIAL GENERAl LIABILITY PREMISES (Ea Qccurence) $ 50,000 I CLAIMS MADE ~ OCCUR MED. EXP (Anyone person) $ 5,000 C PERSONAL & />DV INJURY $ 1,000,000 f- GENERAl AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY 4470630901 10/01/07 1 0101 108 COMBINED SINGLE LIMIT - (Ea aCCident) $ 1,000,000 X ANY AUTO - AlL OWNED AUTOS BODIL Y INJURY - (Per person) $ SCHEDULED AUTOS B X HIRED AUTOS BODIL Y INJURY X (Per aceldenl) $ NON-OWNED AUTOS ~ t-- PROPERTY DAMAGE $ (Per aCCident) GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONL Y AGG $ EXCESS I UMBRELLA LIABILITY 4470630900 10/01/07 1 0/01 108 EACH OCCURRENCE $ 1,000,000 o OCCUR o CLAIMS MADE AGGREGATE $ 1,000,000 A $ R DEDUCTIBLE $ RETENTION $ 0 $ WORKERS COMPENSATION AND I we STATU- I I OTHER TORY LIMITS EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRlETORIPARTNERlEXECUTIVE OFFICERiMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ If yes, de.cribe under EL. DISEASE-POLICY LIMIT $ SPECIAL PROVISIONS below OTHER: DE SCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY NDORSEMENTI SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO City of Zephyrhllls-Building Department DO SO SHAlL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S 5335 8th street AGENTS OR REPRESENTATIVES Zephyrhills, FI 33542 AUTHORIZED REPRESENTATIVE ~ Attention: 780-0021 Trevor McCarthy ACORD 25 (2001/08) Certificate # 144870 @)ACORD CORPORATION 1988 02/05{2_0gJElu 13 :00 :::.;: .~ .l.BJ.326412S9 - ~-.... .&.'-'A;oI IV,UV .I:nA uu.J G~" ..,oCt:: .111~tAre ,. -'A_~~(JBQ. '.CERT;IFICA TE OF LIABILI I RANCE?'c', I .....-....,..... -." '11 " 02/05/2008 PROOOC!=R (863) 293-4653 .FAX (863)Z93- 5861 THIS CERTIFICATe IS ISSUED AS 'A MATTER OF INFORMATION Insure America Group, Inc. ONt. Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE POBox '7641 HOLDER. THIS CERTIFICATE DOES NOT AMEND, eXTEND OR At TER THE COVERAGE AFFORDED BY THE POUCIES BELOW. Winter Haven, FL33883-7641 INSURf;~S AFFO~DING COVERAGE NAlC# INSU~ED McNealon Electl"1cal Services, Inc. INIlI)Flen. fI: Br;dgefield Employers lnsurance CO",,~ny 14208 Br;arthorn Drive INSURER s: Tampa I Fl 33625 INSlIRlm c: ._" -. INSLlRt:/l 0: .. d, ,-- INSUREFl e: MCNEALON ELECTRIC.o.L .:.813.2_ Am<l]rf J:i~lr ' v~._. PAGE 05/07 ~OOl/OOl ~VERAQES THE POUCIES OF INSUFtANCi: LISTED BELOW HAve BEEN ISSUED 'TO THE INSUREO ~ED ABOVE; FOR THE POUCY peRIOD INOlCA TED. NOTWITHSTANDING ANY REQUIFlEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTI'ER DOCUMENT WITH RESPECT TO WHICH tHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE 'NS~NCE AFFORDED ey THE POLICIES DESCRIBED HERI:IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COtIDlTIONS OF SUCH I'OLrCIES, AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. _ TYI"E OP INGlJRANCE" POLICY NUMlaSR POLICY~~- GI!N~"L LIABILITY I-~OMMERCIAL GeN&RA~ LIABILITY CLAIMS MAD!: D oeeu~ - QEN'L Mla~EGIlTE LIMIT fI"PUF.I; l>eR: I POLICY n ~Gfr n Loe ~lITOMO!lILE LIABILITY I-- Ar-rY" AUTO A'_L OWNED flUTOS ~ _ SCH'EOULED AUms _ HII'lEO'lllTOS ND~OWNED AUTOS - --- eACH OCCURRr:l'fCE ~~~~.~, MF.r.l exp IAny 0"" !lOIIOn) -. PERSONAL & f'J)V INJUF\'Y LIMITS $ s s $ OEN~L flGClAet:>ATE -- I"ROOUCTS . COMI"IOP AGl> $ COMBINED SINGLE Lll.lrT (Eo. accldnnl) BODILY IIMiRY (Po, PO,"onJ aoclL I' INJURY (PerllCCi<I..,t) PROpeRTY OAIIlAGE (Per .oQlQen~ ROARAOE LIIIIlILITY IINYIIU'TO ~ESSlU"Ilf'ra.LA LIABILITY -1 OCCUR 0 CLIIIMEl MADE I r-;EOUCTlBLE I RETENTION $ WCRKe~SCOMPE"NSAnONANO EMPLO"lERs' LIABILITY A ~~~6=~~~lli~CLJTlVE If fC, d""e~be under SPECIIIL i"ROVlSlOIII3 b~lllIN MilE" ALlTO DNL Y . E,UCCIOENT S OTHER TWAJIf AUTO ONLY: E'.J\ACC ., AGG ; '- r;;^~ OCCURREI>IeE; , ^GG~GATE , S 0830-37065 11/01/2007 11/01/2008 - 500,000 S~ SOO,OO<l DESCRIPTION OF OPERAT1ONs I LOCATIONS I VEHICLES I IiXCLUSIONS ADDED !II' ENOOllseMENT I SPECIAL PROVISIONs c c 0 SKOULD ANY Of' THE ABOVE DElCRrBEO POUCISl Be CANCElLEllllEf'ORE THE EXPIRATION llATE THEREOF. T"E ISSUING INSUReR WILL ENDE!AYOll TO MAIL ~ ClAYS WRITTEN NOTICE TO T"E CEI'ITlFICATE MOLDEft NAMEI:1 TO T"E LEFT, BUr PAl-VilE TO IIWL SUCH NOTICE S"ALL IMPOSE NO OBLIGATION OF! LIABILITY OF /\NY KINO UPON THE RER. ITS AIi TS REPR TATlVES. AUTHORIZED REPRSS TI J_es Kn; h C;ty of Zcphy~h;11s Building Department 5335 ath Street Zephyrhills, FL 33542 ACORD 25 (2001108) FAX; (813)780~OO21 02/05/2008 13:00 8132E412BS~ reo. " .LUU~ II :HAM , . " ACORD CERTIFICATE OF LIABILITY INSURANCE ' - " r !lATE CMMJD DIVVV'\') TM. 02/0512008 PRODIXEP. Ph,,", f~13) 900-1234 "mi' a1$-9aB-0989 THill CERTIFlCA~ IS ISSUED AS A MATTeR OF INF~MAnON ASSOCIATES AGENCY. INC. PO BOX 16190 ONLY AND CONFERs NO R1CMTS UPON THE CERTIFICATE ~~~~ THIS CSRTlfJCATE DOES NOT AMIafD, EXTEND OR 11470 N. 53RD ST, . ~~ . ..... .....- TEMPLE TERRACE FL 33887 INSURERS AFFORDING COVERAGE NAIe #. Ailenc" l;,,*: ROO17M IN$UREO INSURER A: AUTO OWNERS INSURANCE CO. .. 18988 MCNEALON ELECTRICAL SE:RVICES, INC. INSUREFl 8: AUTO OWNERS INSURANCE CO. 18988 14208 BRIARTHORN DRIVE INSURER c: SOUTHERN OWNERS INSURANCE CO. 10190 TAMPA FL 33625 INSURliR 0; -.. "- INSURER E: MCNEALON ELECTRICAL =l.22..s4'?i:~__ PAGE 05/07 -~~o 5458 Pili COVERAGES ~ POLICIES OF INsURANC!;: LISTI;O BELOw fi.1\VE BeEN IS.~ED TO rwe INSuRED N/lMEO ABOVE FOR 'THI: POl..ICY PERIOD INOICATCD. NOTWI1HSTAII/DING ANy REOUIREMENT, TERM OR CO/lOITION OF fW( CONTRACT O~ QTIoII.R DOCl.lI.1Em WITH RESPECT TO WHICIol THIS CERTIFICATI'. MAY BE ISSUI;D Or< W-Y PERTAIN. Tl-iE INSURANCE AFFORDED BY THE POLICIES DESCRIBI;O HEREIN IS $UIM:CT TO All1l1E l1<Il~. EXCLUSIONS I'oNCI COII[)/TI0NS OF SUCH POLICIES I'oGGREC-ATE LIMIT$ $HOWN W-Y HAVE BEEN REDIJCEO BY ~A1D ClAIMS f--~o 0 00. . - .. .. ,- -_. .~_... lN3R ADD. 'TYPe OF INSURIINCE POLICY NUMEle~ ~~;M~:~~ r=~-:~N UMlTS LTR IflIS~ ~M;Ml. llll8lJTY 20641U8 10101107 10101108 EACH OCCURRENCE . 1 000,000 X COMMERCIAL GENERAl. llAeILITY ~-=~~=~~~, $ 50.000 :=b CLAIMS MADE W OCCU~ MED r;)(~ (A~y QI14 PtlBltM) $ ,-~ ~ C f-- P€flSOr.lO,L & AOV INAAY $ 1,000,000 I-- GF./lEAAL. At;GREGAT1i' " 2,000,000 ~L AGGRFt'.A'fE L/Mn """PLIES "'ER PROOIICTS-COPlP'OP N'~ $ 2.000,000 n F~O. nl POl/CV JECT Loe AUTCMgllll.E LIABILITY 4470630901 10101107 10101/08 COMBI~n SII\K;lE LIMIT X ANY ALlTO IEs ecoldnnl) to 1,000,000 - AlL ~D AUTOS BODILY INJljRY f-- IPnr P.",on) $ SCHEDUl.ED AlJT'OS B ~ - - ~ HIRED AI.JrOS BOlJIL Y IN~RY ~ NON-OWNED AUTOS IP9r eocI09l1l1 " '-- - -- PRO~ERTY tlAMA.GE ~ lPer eCcldnlU) GARACe l.'AElILITY AIJTO ON!. Y - EA ACCIDENT , ==i ANY AUTO 01l11:R THAN EAI'q; $ AUTO 0IIl Y: AC-Q. $ exCESS' UMBRelLA llAIIUTV ,u70630900 10/01107 10101108 EACH OCCURRENCE $ 1,000,000 rJ- OCCllll 0 CLAIMS MADE AGGREGATE $ 1,000,000 . ............-. A $ 0, R DEDUCTIBLE ~ -- RETENTION $ 0 ~ WORKl!A8 eOMI'ENSA'I10N AND ~~T^TIj. I IOTHEi:' TO~.v u..,.s .- ~MPLOYEftS. LIABILITY "'.L, EActi ACClOEm $ ANY PRtlr~llIl'IIII/IIAIl'TNEIlIEllECIIT1VE OFFlC_Ill~ IlIUIWDED? E.L DISEASE-eA EMPLCyr:E' , If,.., "!le"~ ut'Mt.r I:,L DISF..o.sE-POLICY LIMIT ~ SPECIAL PlIOVllIDN!l ....I.w OTHER: DE SCRIPTION OF OPERATIONSfLOCA IONSNEHICLES/EXCL~ SIONS ADDED BY NDORSEMENTI SPECIAL PROVISIONS CERTIFICATE HOl.DER CANCELLATION SHOUlD /IoNV OF 1l1E IIBOve DeSCR'Be" POLICIES BE CilNCE1.I.F.D eeFOI'e THE EXPIRATION DATE T14iREOF, ~e IS6UtNG INSURER WILL ENOI;AVOR TO ~IL 10 tlAvs WRITTEN NOTICE; TO ~E CERTIFICATE HOlDEI< NIIII.fID TO TH: LEFT. BUT FAILURE TO CRy of ZoPhyrhlll$.f3Ullellng De~artment 00 so SHllLL IMPose NO oeL/GATION 00 LIABILITY OF A~Y KIND IJF'ON THE INSl,J<EI<. Irs 5335 8th strfl"t AC-EmS OR REPRESEmATlVES. Z8p~ms, FI 33542 AUTHORIZEf:' REPRI:Sr;:N1Al'tV~ ~ AUentlon: 780.0021 Trevor McCarthy ACORD 25 (2001108) Certlflcete # 144870 @l ACORD CORPORATION 1988 02/05/2008 13:00 81326412B9::::: '::':R:.:. < MCNEALON ELECTRICAL :~:":L:: .::BAGE 04/07 == CD ~ ~ t-.) ~ ~ c:: Q tl IB 0 en ..... "II -< I ~ ~ - N Z 0 Q fJ: > 0 R ~O - ... \D ,00 !,l .. m 0 ~ ~ 0 (') ":Jjj 0 0 ~ ~ CJ) 00 0 ir= en m i tn' ~ ~ 2m lo;! Cl ~ %0 ~ ~ (") m;c 0 0 0 ~ CD '11 C c: i!i ~ C/) (j) I % i~ m ;a d C/) en ... 0 ;:0 ~ c:. m I m Z 0 r m ~ ~ m I il m 0 c: - ~ ~ -0 z ~ ~ m ;;ten en -1 ~~~ ~ ;t iii 1:1 0-'" m 0 ~cm m c: l:l~ ::0 8 (j) m ;;: CD C') m m 0 III ,... m >~I:I ~ ;;!Wm i~S: -l )<~.z ~o.. ;0101-1 NO I 1ftV' ~ ,,~z ~oo CHI! l!!~o >m~ wtv ~oo "Tl:;lJr lsl~ r-O ~ ,... wl>z N> :I: ,... c>>"m tn:;O m m -i ~ ~ Rl~,... :J: -" ~ (,/IO~ 0 0 C l..l"-i ;:0 i ~Z:;o Z -1 (,/10- 0 "' ;:o~ ;:0 p r :;0 m CIl m >< m z "'0 0"'0 ~ m ii e!;!:: ~ wO 0 m r tJ> iV' m go C/) (0 'tiN Z 1/1 W .... (') c: :-..l ~p: Q I ~ ~~ N 00' <:I . 00 m;;1 .... 0 8(,/1 ~ co co ;:) 0 c- o .... ~g :z 00 0 0 0 -~~ -. 02/05/2008 13:00 8132541289 _~_ _ MCNEALONELECTRICAL PAGE 03/B7 . STATE OF FLOR~~i"__ ;. DEPARTMENT OF ~OSINESS AND PROFESSIONALR~~ULATION ELECTRICAL CONTRACTORS LICENSING BOARD (SSO) 48"'7-:1395 ',... ~. 1940 NOR'I'H MONROE STREET "~~ TALLAHASSEE PL 32399-0783 ' MCNEAL ON JAMES E MCNEALON'ELECTRJ:CAL SERVICES INC 14208 BRIARTHORN DR TAMPAFL 33625 I .....STATE.~~FL()RIDIl . , AC# 2b5.2314 . ; HPAaTHJ!lN'l' OF BtrSnmsS AND ' : ".' ' . P~O:&1SSSXONA1. RBWLAT:ION " EC~30017B907/11106 068006985 ;~~>c~~~Bb :&:tiBC'rRlCAL CONTRACTOR "~'-,:'~ON,~' ttMll'S. E \:~~N;, :~tiS~'1'R:tCAL SER.VICES IRe 'IS CERTIFI.ilO untlM: t:b.. prov1do.... of c:h.~89 FS. .bp1r..l:ia"'41l~~" AUG 31, 20'08 lID60711007:l<4 DETACH HERE AG# 26'52314 , ,,$T~TE~,:,F.Lq~ID~, :. ' DEPAR.m- OP, Btr~([_sS::~ifb'~F.SS-:tGNAtI .REGULATION,., " ._ EtJ.E'CTln!CAt:'::,~~'1!G:RS '.:L%CEltSINQSOA1m -SEQtl:L,0.6tl7J.100724 . " ".. .' . ' . LICENSE NBR 07. ,,112 O:CHi. Q,6:dtJ.1f9S5 ~EC130(l17'B9 H, ,;, TheELECTRJ:'~ CSNTB'C'1'O~ ~;~V;" Named below I'S .CDTI'IIilD,. . Under the p:t'oVi.sions of Chapt~.%'j 4-:8'9 FS .:, Expi:ration date: AUG 31" 20-08 "~-"':;,"'.-:, .... I;, . .1,:: ;;li~fi' .~, .... ,~~:,,:,(;)~.~.;~ . ....,. .' ,;.~'-' ;, ,". ~.; - .: '.' ,"," JEB BT1SR- GOVERN'OR 'S~VIC~S.:imc FL 33625' . ... ., 'dft{( 4i~r..;g; DlSPLAYAS'REQUJ:RED 'By LAW . "~0r' '. , . ': I"~':;~ ."". " -S~ HARS'I'It.I..ER . -:' . ;'t,;,,:.sECRE~ARY MCNEALON JAKES E MCNEALON'ELECTRICAL 14208 BRIARTHORN DR TAMPA DIilOl3lIlX8IID NClU.:WIIUac2:l0 .........., .....0 .... .uMM'1iII/dD :wcw__ ""'._, .. ";'.'Ilo.~'l1 ~~ =-= ."IJ ...,. ~ **~ '...,, lV" WIrO'\f'lllllftW1lfIY.I BIIIlIWWlIWI ..W'CMIlIlnlll:lDOa'_'1IAIO ~ " -<i ~III 'II ':JNI '3NO dnOl:I!) ":J11:I3Wll:ld Q't'0ll CIIIOd J.LeId . : I ., i "-O--~ U\ ~ ~) II ,U -:.:'::~:::=:==.:o~~~-=-=~~_=.:-=--~__=",-~J...r:J:~-==~::~L~ i ,~ - - ~ iii I II 'k lll}:::.: lJ "l' IJ I: q . '11 A 11 n H " " ~t Il.~ ~\ i ~~: .11,\ 1\ 'p II :1 ~1.~- tll ~-:-\ 14'1 II l~ I t \ \ I 1.1'1 II : 111: :1 :+-~ I l!llt<r-;. 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I <> . 0 .. 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name ~'E:.P\4'(R COMMoJ..s L LC- Owner'sAddress 13lo2. 9 ~ LAIIlE'/11'A( Fi53'/5 Fee Simple Titleholder Namel Fee Simple Titleholder Address I "1150 WORK PROPOSED ~ D D G^'l '.~V!) I B D D 1'2.0\111) e f.oO A M.P SQ FOOTAGE I LOT # JOB ADDRESS SUBDIVISION PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME OTHER STEEL OTHER I BUILDING SIZE DESCRIPTION OF WORK ~ol\t~ I I . . . . , I I . . . I I I I I . I I I '.' . . I . . . . I . . . . I . . . . . I I I I . . . I I . . . I I I . . . I I . . . I I . . . I I I . ,., . I I . . . . I I I I . I I I . . . . I I I . . ... . I I I I I . I . I . . . . . I I I I . I I . . . . If' I . I I . . . . . . . . . . . I D BUILDING 1$ 1$ :5:00 D PLUMBING 1$ I D MECHANICAL 1$ 1 D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1"""""""'111"""'1"""""'1""111""'11'""""""11"""'11""'1""11111111"""1'111"""1"111"'1111""1'111""""'111 ~ ELECTRICAL I fc{J AMP SERVICE VALUATION OF TOTAL CONSTRUCTION ~ PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER I SIGNATURE Address I ELECTRICIAN I~ SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N COMPANY REGISTERED License # I I Mt ~b~ (;l~CAl ~'f.6.1jk. I Y / N I FEE CURRENT I Y / N I License # I EC \ ~DO \ 189 Address PLUMBER SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/ N FEE CURRENT License # YIN Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111'1111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades Ale Fences (Plot/Survey/Footage) Driveways-Not over Counter if.on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. ,US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the)ob is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y R NOTICE OMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or haslhave produced as Identification. CONTRACTOR ;;ubscribed and s m to affirmed} befrl '; this J ,J.J1,..5:.lD08 by ~M~S I; e €AWN Who Is)are personallY known to me or has/have produced as identification. Notary Public ~~ :\~~y PUs ~Q .......~ (~(' Notary Public J. LYNN BAR~'IDT 3 ,. t,l(PIRES: January 28, 2010 I ;.' Commission No. * '" Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped tOFfeo